Drug intelligence / Profile preview

dolcanatide

Development stage
Phase 2
Lead developer
Salix Pharmaceuticals
Modality
Peptides, Recombinant Proteins and Enzymes
Administration
Oral
01

Overview

Dolcanatide is an orally administered, synthetic peptide analog of the human endogenous natriuretic hormone uroguanylin. It acts as a guanylate cyclase C (GC-C) agonist, stimulating GC-C receptors in the gastrointestinal tract to increase cyclic GMP production. This mechanism leads to potential laxative, anti-nociceptive, and anti-inflammatory effects. Dolcanatide was designed with select D-amino acid substitutions for enhanced stability and persistence in the gut lumen compared to natural uroguanylin. It has been investigated primarily for ulcerative colitis, constipation (including opioid-induced constipation), chronic pain associated with gastrointestinal disorders, and colorectal cancer chemoprevention. The drug is minimally absorbed systemically and acts locally within the gut[1][3][4][5][7][8].

Other names
dolcanatide
02

Targets

GUCY2C (Guanylate cyclase C receptor)

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